Homelessness and Other Risk Factors for HIV Infection in the Current Outbreak Among Injection Drug Users in Athens, Greece

Objectives. We examined HIV prevalence and risk factors among injection drug users (IDUs) in Athens, Greece, during an HIV outbreak. Methods. We used respondent-driven sampling (RDS) to recruit 1404 IDUs to the Aristotle intervention in August to October 2012. We interviewed participants and tested...

Full description

Saved in:
Bibliographic Details
Published in:American journal of public health (1971) 2015-01, Vol.105 (1), p.196-204
Main Authors: Sypsa, Vana, Paraskevis, Dimitrios, Malliori, Meni, Nikolopoulos, Georgios K, Panopoulos, Anastasios, Kantzanou, Maria, Katsoulidou, Antigoni, Psichogiou, Mina, Fotiou, Anastasios, Pharris, Anastasia, Van De Laar, Marita, Wiessing, Lucas, Jarlais, Don Des, Friedman, Samuel R, Hatzakis, Angelos
Format: Article
Language:English
Subjects:
Addictive behaviors
Disease transmission
Drugs
Epidemics
Epidemiology
HIV
HIV/AIDS
Homeless people
Homelessness
Human immunodeficiency virus
Incentives
Infections
Informed consent
Intervention
Interviews
Medical tests
Prevention
Public health
Questionnaires
Research and Practice
Risk factors
Sample size
Substance abuse treatment
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
cited_by cdi_FETCH-LOGICAL-c424t-5fca734a0f606dbb6d7e46495421298540ba9f7baaf688a2f2b69d88866a35323
cites cdi_FETCH-LOGICAL-c424t-5fca734a0f606dbb6d7e46495421298540ba9f7baaf688a2f2b69d88866a35323
container_end_page 204
container_issue 1
container_start_page 196
container_title American journal of public health (1971)
container_volume 105
creator Sypsa, Vana
Paraskevis, Dimitrios
Malliori, Meni
Nikolopoulos, Georgios K
Panopoulos, Anastasios
Kantzanou, Maria
Katsoulidou, Antigoni
Psichogiou, Mina
Fotiou, Anastasios
Pharris, Anastasia
Van De Laar, Marita
Wiessing, Lucas
Jarlais, Don Des
Friedman, Samuel R
Hatzakis, Angelos
description Objectives. We examined HIV prevalence and risk factors among injection drug users (IDUs) in Athens, Greece, during an HIV outbreak. Methods. We used respondent-driven sampling (RDS) to recruit 1404 IDUs to the Aristotle intervention in August to October 2012. We interviewed participants and tested for HIV. We performed bivariate and multivariate analyses. Results. Estimated HIV prevalence was 19.8% (RDS-weighted prevalence = 14.8%). Odds of infection were 2.3 times as high in homeless as in housed IDUs and 2.1 times as high among IDUs who injected at least once per day as among less frequent injectors (both, P 
doi_str_mv 10.2105/AJPH.2013.301656
format article
fullrecord <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_4145040</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1826580964</sourcerecordid><originalsourceid>FETCH-LOGICAL-c424t-5fca734a0f606dbb6d7e46495421298540ba9f7baaf688a2f2b69d88866a35323</originalsourceid><addsrcrecordid>eNpdkUFrGzEQhUVpaZy0956KoJceYneklWTtpWDcJHYIuJSmV6HdHTnr7EqptFtIf31l7IY2IKEBfe8xM4-QdwxmnIH8tLj-uppxYMWsAKakekEmTAo2BRD6JZkAlJDrQp2Q05R2AIyVkr0mJ1zIfEBPyO9V6LHDlHy-1PqGboY7jPRbm-7ppa2HEBN1IdLV-gdde4f10AZPW08zRpdjjOgHuhmHKqK9p4s--G3mdkfuSxy39DZhNsmSRdb4dE6vImKNb8grZ7uEb4_vGbm9vPi-XE1vNlfr5eJmWgsuhql0tZ0XwoJToJqqUs0chRKlFJzxUksBlS3dvLLWKa0td7xSZaO1VsoWsuDFGfl88H0Yqx6bOjccbWceYtvb-GiCbc3_P769M9vwywiWdyQgG3w8GsTwc8Q0mL5NNXad9RjGZJjmSmoolcjoh2foLozR5_EMU0LwUmm2N4QDVceQUkT31AwDsw_W7IM1-2DNIdgsef_vEE-Cv0kWfwD2955H</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1644296810</pqid></control><display><type>article</type><title>Homelessness and Other Risk Factors for HIV Infection in the Current Outbreak Among Injection Drug Users in Athens, Greece</title><source>Open Access: PubMed Central</source><source>ABI/INFORM global</source><source>American Public Health Association</source><source>Politics Collection</source><source>PAIS Index</source><source>BSC - Ebsco (Business Source Ultimate)</source><source>ProQuest Social Science Premium Collection</source><creator>Sypsa, Vana ; Paraskevis, Dimitrios ; Malliori, Meni ; Nikolopoulos, Georgios K ; Panopoulos, Anastasios ; Kantzanou, Maria ; Katsoulidou, Antigoni ; Psichogiou, Mina ; Fotiou, Anastasios ; Pharris, Anastasia ; Van De Laar, Marita ; Wiessing, Lucas ; Jarlais, Don Des ; Friedman, Samuel R ; Hatzakis, Angelos</creator><creatorcontrib>Sypsa, Vana ; Paraskevis, Dimitrios ; Malliori, Meni ; Nikolopoulos, Georgios K ; Panopoulos, Anastasios ; Kantzanou, Maria ; Katsoulidou, Antigoni ; Psichogiou, Mina ; Fotiou, Anastasios ; Pharris, Anastasia ; Van De Laar, Marita ; Wiessing, Lucas ; Jarlais, Don Des ; Friedman, Samuel R ; Hatzakis, Angelos</creatorcontrib><description>Objectives. We examined HIV prevalence and risk factors among injection drug users (IDUs) in Athens, Greece, during an HIV outbreak. Methods. We used respondent-driven sampling (RDS) to recruit 1404 IDUs to the Aristotle intervention in August to October 2012. We interviewed participants and tested for HIV. We performed bivariate and multivariate analyses. Results. Estimated HIV prevalence was 19.8% (RDS-weighted prevalence = 14.8%). Odds of infection were 2.3 times as high in homeless as in housed IDUs and 2.1 times as high among IDUs who injected at least once per day as among less frequent injectors (both, P &lt; .001). Six percent of men and 23.5% of women reported transactional sex in the past 12 months, and condom use was low. Intercourse with non-IDUs was common (53.2% of men, 25.6% of women). Among IDUs who had been injecting for 2 years or less the estimated incidence rate was 23.4 new HIV cases per 100 person-years at risk. Conclusions. Efforts to reduce HIV transmission should address homelessness as well as scaling up prevention services, such as needle and syringe distribution and other risk reduction interventions.</description><identifier>ISSN: 0090-0036</identifier><identifier>EISSN: 1541-0048</identifier><identifier>DOI: 10.2105/AJPH.2013.301656</identifier><identifier>PMID: 24524508</identifier><identifier>CODEN: AJPHDS</identifier><language>eng</language><publisher>United States: American Public Health Association</publisher><subject>Addictive behaviors ; Disease transmission ; Drugs ; Epidemics ; Epidemiology ; HIV ; HIV/AIDS ; Homeless people ; Homelessness ; Human immunodeficiency virus ; Incentives ; Infections ; Informed consent ; Intervention ; Interviews ; Medical tests ; Prevention ; Public health ; Questionnaires ; Research and Practice ; Risk factors ; Sample size ; Substance abuse treatment</subject><ispartof>American journal of public health (1971), 2015-01, Vol.105 (1), p.196-204</ispartof><rights>Copyright American Public Health Association Jan 2015</rights><rights>American Public Health Association 2015 2015</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c424t-5fca734a0f606dbb6d7e46495421298540ba9f7baaf688a2f2b69d88866a35323</citedby><cites>FETCH-LOGICAL-c424t-5fca734a0f606dbb6d7e46495421298540ba9f7baaf688a2f2b69d88866a35323</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/1644296810/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$H</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/1644296810?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,3981,11667,21366,21373,27843,27901,27902,33588,33589,33962,33963,36037,36038,43709,43924,44339,53766,53768,73964,74211,74638</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24524508$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sypsa, Vana</creatorcontrib><creatorcontrib>Paraskevis, Dimitrios</creatorcontrib><creatorcontrib>Malliori, Meni</creatorcontrib><creatorcontrib>Nikolopoulos, Georgios K</creatorcontrib><creatorcontrib>Panopoulos, Anastasios</creatorcontrib><creatorcontrib>Kantzanou, Maria</creatorcontrib><creatorcontrib>Katsoulidou, Antigoni</creatorcontrib><creatorcontrib>Psichogiou, Mina</creatorcontrib><creatorcontrib>Fotiou, Anastasios</creatorcontrib><creatorcontrib>Pharris, Anastasia</creatorcontrib><creatorcontrib>Van De Laar, Marita</creatorcontrib><creatorcontrib>Wiessing, Lucas</creatorcontrib><creatorcontrib>Jarlais, Don Des</creatorcontrib><creatorcontrib>Friedman, Samuel R</creatorcontrib><creatorcontrib>Hatzakis, Angelos</creatorcontrib><title>Homelessness and Other Risk Factors for HIV Infection in the Current Outbreak Among Injection Drug Users in Athens, Greece</title><title>American journal of public health (1971)</title><addtitle>Am J Public Health</addtitle><description>Objectives. We examined HIV prevalence and risk factors among injection drug users (IDUs) in Athens, Greece, during an HIV outbreak. Methods. We used respondent-driven sampling (RDS) to recruit 1404 IDUs to the Aristotle intervention in August to October 2012. We interviewed participants and tested for HIV. We performed bivariate and multivariate analyses. Results. Estimated HIV prevalence was 19.8% (RDS-weighted prevalence = 14.8%). Odds of infection were 2.3 times as high in homeless as in housed IDUs and 2.1 times as high among IDUs who injected at least once per day as among less frequent injectors (both, P &lt; .001). Six percent of men and 23.5% of women reported transactional sex in the past 12 months, and condom use was low. Intercourse with non-IDUs was common (53.2% of men, 25.6% of women). Among IDUs who had been injecting for 2 years or less the estimated incidence rate was 23.4 new HIV cases per 100 person-years at risk. Conclusions. Efforts to reduce HIV transmission should address homelessness as well as scaling up prevention services, such as needle and syringe distribution and other risk reduction interventions.</description><subject>Addictive behaviors</subject><subject>Disease transmission</subject><subject>Drugs</subject><subject>Epidemics</subject><subject>Epidemiology</subject><subject>HIV</subject><subject>HIV/AIDS</subject><subject>Homeless people</subject><subject>Homelessness</subject><subject>Human immunodeficiency virus</subject><subject>Incentives</subject><subject>Infections</subject><subject>Informed consent</subject><subject>Intervention</subject><subject>Interviews</subject><subject>Medical tests</subject><subject>Prevention</subject><subject>Public health</subject><subject>Questionnaires</subject><subject>Research and Practice</subject><subject>Risk factors</subject><subject>Sample size</subject><subject>Substance abuse treatment</subject><issn>0090-0036</issn><issn>1541-0048</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>7TQ</sourceid><sourceid>ALSLI</sourceid><sourceid>DPSOV</sourceid><sourceid>M0C</sourceid><sourceid>M2L</sourceid><sourceid>M2R</sourceid><recordid>eNpdkUFrGzEQhUVpaZy0956KoJceYneklWTtpWDcJHYIuJSmV6HdHTnr7EqptFtIf31l7IY2IKEBfe8xM4-QdwxmnIH8tLj-uppxYMWsAKakekEmTAo2BRD6JZkAlJDrQp2Q05R2AIyVkr0mJ1zIfEBPyO9V6LHDlHy-1PqGboY7jPRbm-7ppa2HEBN1IdLV-gdde4f10AZPW08zRpdjjOgHuhmHKqK9p4s--G3mdkfuSxy39DZhNsmSRdb4dE6vImKNb8grZ7uEb4_vGbm9vPi-XE1vNlfr5eJmWgsuhql0tZ0XwoJToJqqUs0chRKlFJzxUksBlS3dvLLWKa0td7xSZaO1VsoWsuDFGfl88H0Yqx6bOjccbWceYtvb-GiCbc3_P769M9vwywiWdyQgG3w8GsTwc8Q0mL5NNXad9RjGZJjmSmoolcjoh2foLozR5_EMU0LwUmm2N4QDVceQUkT31AwDsw_W7IM1-2DNIdgsef_vEE-Cv0kWfwD2955H</recordid><startdate>201501</startdate><enddate>201501</enddate><creator>Sypsa, Vana</creator><creator>Paraskevis, Dimitrios</creator><creator>Malliori, Meni</creator><creator>Nikolopoulos, Georgios K</creator><creator>Panopoulos, Anastasios</creator><creator>Kantzanou, Maria</creator><creator>Katsoulidou, Antigoni</creator><creator>Psichogiou, Mina</creator><creator>Fotiou, Anastasios</creator><creator>Pharris, Anastasia</creator><creator>Van De Laar, Marita</creator><creator>Wiessing, Lucas</creator><creator>Jarlais, Don Des</creator><creator>Friedman, Samuel R</creator><creator>Hatzakis, Angelos</creator><general>American Public Health Association</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>0U~</scope><scope>1-H</scope><scope>3V.</scope><scope>7RV</scope><scope>7TQ</scope><scope>7WY</scope><scope>7WZ</scope><scope>7X7</scope><scope>7XB</scope><scope>87Z</scope><scope>88A</scope><scope>88C</scope><scope>88E</scope><scope>88G</scope><scope>88I</scope><scope>88J</scope><scope>8AF</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8FL</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BEC</scope><scope>BENPR</scope><scope>BEZIV</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DHY</scope><scope>DON</scope><scope>DPSOV</scope><scope>DWQXO</scope><scope>FRNLG</scope><scope>FYUFA</scope><scope>F~G</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K60</scope><scope>K6~</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>KC-</scope><scope>L.-</scope><scope>L.0</scope><scope>LK8</scope><scope>M0C</scope><scope>M0R</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>M2L</scope><scope>M2M</scope><scope>M2O</scope><scope>M2P</scope><scope>M2R</scope><scope>M7P</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PATMY</scope><scope>PQBIZ</scope><scope>PQBZA</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PSYQQ</scope><scope>PYCSY</scope><scope>Q9U</scope><scope>S0X</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>201501</creationdate><title>Homelessness and Other Risk Factors for HIV Infection in the Current Outbreak Among Injection Drug Users in Athens, Greece</title><author>Sypsa, Vana ; Paraskevis, Dimitrios ; Malliori, Meni ; Nikolopoulos, Georgios K ; Panopoulos, Anastasios ; Kantzanou, Maria ; Katsoulidou, Antigoni ; Psichogiou, Mina ; Fotiou, Anastasios ; Pharris, Anastasia ; Van De Laar, Marita ; Wiessing, Lucas ; Jarlais, Don Des ; Friedman, Samuel R ; Hatzakis, Angelos</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c424t-5fca734a0f606dbb6d7e46495421298540ba9f7baaf688a2f2b69d88866a35323</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Addictive behaviors</topic><topic>Disease transmission</topic><topic>Drugs</topic><topic>Epidemics</topic><topic>Epidemiology</topic><topic>HIV</topic><topic>HIV/AIDS</topic><topic>Homeless people</topic><topic>Homelessness</topic><topic>Human immunodeficiency virus</topic><topic>Incentives</topic><topic>Infections</topic><topic>Informed consent</topic><topic>Intervention</topic><topic>Interviews</topic><topic>Medical tests</topic><topic>Prevention</topic><topic>Public health</topic><topic>Questionnaires</topic><topic>Research and Practice</topic><topic>Risk factors</topic><topic>Sample size</topic><topic>Substance abuse treatment</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sypsa, Vana</creatorcontrib><creatorcontrib>Paraskevis, Dimitrios</creatorcontrib><creatorcontrib>Malliori, Meni</creatorcontrib><creatorcontrib>Nikolopoulos, Georgios K</creatorcontrib><creatorcontrib>Panopoulos, Anastasios</creatorcontrib><creatorcontrib>Kantzanou, Maria</creatorcontrib><creatorcontrib>Katsoulidou, Antigoni</creatorcontrib><creatorcontrib>Psichogiou, Mina</creatorcontrib><creatorcontrib>Fotiou, Anastasios</creatorcontrib><creatorcontrib>Pharris, Anastasia</creatorcontrib><creatorcontrib>Van De Laar, Marita</creatorcontrib><creatorcontrib>Wiessing, Lucas</creatorcontrib><creatorcontrib>Jarlais, Don Des</creatorcontrib><creatorcontrib>Friedman, Samuel R</creatorcontrib><creatorcontrib>Hatzakis, Angelos</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection【Remote access available】</collection><collection>Global News &amp; ABI/Inform Professional</collection><collection>Trade PRO</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing &amp; Allied Health Database (ProQuest)</collection><collection>PAIS Index</collection><collection>ABI商业信息数据库</collection><collection>ABI/INFORM Global (PDF only)</collection><collection>ProQuest_Health &amp; Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>ABI/INFORM Collection</collection><collection>Biology Database (Alumni Edition)</collection><collection>Healthcare Administration Database (Alumni)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Science Database (Alumni Edition)</collection><collection>Social Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>ProQuest Pharma Collection</collection><collection>ProQuest Public Health Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ABI/INFORM Collection (Alumni Edition)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Social Science Premium Collection</collection><collection>ProQuest Agriculture &amp; Environmental Science Database</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>eLibrary</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest Business Premium Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>PAIS International</collection><collection>PAIS International (Ovid)</collection><collection>Politics Collection</collection><collection>ProQuest Central</collection><collection>Business Premium Collection (Alumni)</collection><collection>Health Research Premium Collection</collection><collection>ABI/INFORM Global (Corporate)</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Business Collection (Alumni Edition)</collection><collection>ProQuest Business Collection</collection><collection>Consumer Health Database</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Database (Alumni Edition)</collection><collection>ProQuest Politics Collection</collection><collection>ABI/INFORM Professional Advanced</collection><collection>ABI/INFORM Professional Standard</collection><collection>Biological Sciences</collection><collection>ABI/INFORM global</collection><collection>Family Health Database (Proquest)</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Healthcare Administration Database</collection><collection>PML(ProQuest Medical Library)</collection><collection>Political Science Database</collection><collection>Psychology Database (ProQuest)</collection><collection>ProQuest_Research Library</collection><collection>ProQuest Science Journals</collection><collection>Social Science Database</collection><collection>Biological Science Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>Environmental Science Database</collection><collection>One Business (ProQuest)</collection><collection>ProQuest One Business (Alumni)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest One Psychology</collection><collection>Environmental Science Collection</collection><collection>ProQuest Central Basic</collection><collection>SIRS Editorial</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>American journal of public health (1971)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sypsa, Vana</au><au>Paraskevis, Dimitrios</au><au>Malliori, Meni</au><au>Nikolopoulos, Georgios K</au><au>Panopoulos, Anastasios</au><au>Kantzanou, Maria</au><au>Katsoulidou, Antigoni</au><au>Psichogiou, Mina</au><au>Fotiou, Anastasios</au><au>Pharris, Anastasia</au><au>Van De Laar, Marita</au><au>Wiessing, Lucas</au><au>Jarlais, Don Des</au><au>Friedman, Samuel R</au><au>Hatzakis, Angelos</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Homelessness and Other Risk Factors for HIV Infection in the Current Outbreak Among Injection Drug Users in Athens, Greece</atitle><jtitle>American journal of public health (1971)</jtitle><addtitle>Am J Public Health</addtitle><date>2015-01</date><risdate>2015</risdate><volume>105</volume><issue>1</issue><spage>196</spage><epage>204</epage><pages>196-204</pages><issn>0090-0036</issn><eissn>1541-0048</eissn><coden>AJPHDS</coden><abstract>Objectives. We examined HIV prevalence and risk factors among injection drug users (IDUs) in Athens, Greece, during an HIV outbreak. Methods. We used respondent-driven sampling (RDS) to recruit 1404 IDUs to the Aristotle intervention in August to October 2012. We interviewed participants and tested for HIV. We performed bivariate and multivariate analyses. Results. Estimated HIV prevalence was 19.8% (RDS-weighted prevalence = 14.8%). Odds of infection were 2.3 times as high in homeless as in housed IDUs and 2.1 times as high among IDUs who injected at least once per day as among less frequent injectors (both, P &lt; .001). Six percent of men and 23.5% of women reported transactional sex in the past 12 months, and condom use was low. Intercourse with non-IDUs was common (53.2% of men, 25.6% of women). Among IDUs who had been injecting for 2 years or less the estimated incidence rate was 23.4 new HIV cases per 100 person-years at risk. Conclusions. Efforts to reduce HIV transmission should address homelessness as well as scaling up prevention services, such as needle and syringe distribution and other risk reduction interventions.</abstract><cop>United States</cop><pub>American Public Health Association</pub><pmid>24524508</pmid><doi>10.2105/AJPH.2013.301656</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 0090-0036
ispartof American journal of public health (1971), 2015-01, Vol.105 (1), p.196-204
issn 0090-0036
1541-0048
language eng
recordid cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_4145040
source Open Access: PubMed Central; ABI/INFORM global; American Public Health Association; Politics Collection; PAIS Index; BSC - Ebsco (Business Source Ultimate); ProQuest Social Science Premium Collection
subjects Addictive behaviors
Disease transmission
Drugs
Epidemics
Epidemiology
HIV
HIV/AIDS
Homeless people
Homelessness
Human immunodeficiency virus
Incentives
Infections
Informed consent
Intervention
Interviews
Medical tests
Prevention
Public health
Questionnaires
Research and Practice
Risk factors
Sample size
Substance abuse treatment
title Homelessness and Other Risk Factors for HIV Infection in the Current Outbreak Among Injection Drug Users in Athens, Greece
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-01T07%3A09%3A25IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Homelessness%20and%20Other%20Risk%20Factors%20for%20HIV%20Infection%20in%20the%20Current%20Outbreak%20Among%20Injection%20Drug%20Users%20in%20Athens,%20Greece&rft.jtitle=American%20journal%20of%20public%20health%20(1971)&rft.au=Sypsa,%20Vana&rft.date=2015-01&rft.volume=105&rft.issue=1&rft.spage=196&rft.epage=204&rft.pages=196-204&rft.issn=0090-0036&rft.eissn=1541-0048&rft.coden=AJPHDS&rft_id=info:doi/10.2105/AJPH.2013.301656&rft_dat=%3Cproquest_pubme%3E1826580964%3C/proquest_pubme%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c424t-5fca734a0f606dbb6d7e46495421298540ba9f7baaf688a2f2b69d88866a35323%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=1644296810&rft_id=info:pmid/24524508&rfr_iscdi=true